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Results vary, as expected

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As the divide deepens, homeownership (by those who already own or inherit) or financial support are becoming almost necessary conditions for living and working in the city

Institute Report FAQs Key Findings Medicine use has increased: Total prescription medicine use increased 1.5%, reaching 210 billion days of therapy in 2025 Vaccinations have had mixed trends, with seasonal vaccines seeing significant declines in the latest season while many routine vaccines increased in 2025 Some patients see out-of-pocket cost reductions: Patient out-of-pocket costs reached a record $110Bn in 2025, increasing by $6Bn Implementation of the Medicare Part D out-of-pocket cap reduced overall spending by Medicare beneficiaries, offset by increases in other pay types driven by GIP/GLP-1s Patients continue to see barriers to medicine access: Nearly two-thirds of prescriptions for newly launched drugs go unfilled in the first year on the market, and limited coverage persists for several years Spending on medicines has accelerated: The U.S